Factors associated with poor adherence to vaccination against hepatitis viruses, <i>streptococcus pneumoniae</i> and seasonal influenza in HIV-infected adults

Tsachouridou, Οlga; Georgiou, Adamantini; Naoum, Symeon; Vasdeki, Dimitra; Papagianni, Maria; Kotoreni, Georgia; Forozidou, Evropi; Tsoukra, Paraskevi; Gogou, Christiana; Chatzidimitriou, Dimitrios; Skoura, Lemonia; Zebekakis, Pantelis; Metallidis, Symeon

doi:10.1080/21645515.2018.1509644

Cited by 26 publications

(25 citation statements)

References 43 publications

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“…We observed a significantly lower vaccine coverage than Tsachouridou et al against HAV, HBV, and IPD. 1 In our cohort, vaccine coverage against IPD was 20 % versus 79 % in the Greek cohort. Vaccine coverage for HAV and HBV were respectively 23.7% and 63.5% in our cohort, contrasting with the 73.6% and 73.6% observed in the Greek study.…”

Section: Dear Editormentioning

confidence: 64%

“…However, vaccine coverage against seasonal influenza was quite similar, 40.1 % in our cohort and 39 % in the Greek cohort. 1 The observed difference in vaccine coverage in people living with HIV between Greece and France are not explained by different guidelines or by costs, as in both countries, all four vaccines are recommended in PLWH and without additional costs for patients. 1,2 To explain the observed differences, we formulate several hypotheses.…”

Section: Dear Editormentioning

confidence: 90%

“…Tsachouridou et al observed a negative impact of the 2010 financial crisis on vaccine coverage against HAV, HBV, and pneumococcal disease. 1 They did not observe any difference for the vaccine coverage against seasonal influenza. The absence of impact is probably due to the fact that vaccine coverage against seasonal influenza is very low.…”

Section: Dear Editormentioning

confidence: 92%

“…We read with great interest the article by Tsachouridou et al entitled "Factors associated with poor adherence to vaccination against hepatitis viruses, Streptococcus pneumoniae and seasonal influenza in HIV-infected adults". 1 The authors aimed to identify risk factors for non-adherence to routine vaccination in HIV-infected patients. They evaluated vaccine coverage in 1210 HIV-infected patients against hepatitis A virus (HAV), hepatitis B virus (HBV), seasonal influenza and invasive pneumococcal diseases (IPD).…”

Section: Dear Editormentioning

confidence: 99%

“…In contrast, in their cohort, lower level of education and lack of insurance were associated with non adherence. 1 In France, PLWH receive each year a voucher from the National Health Insurance for a free vaccine against seasonal influenza. In our cohort, vaccine coverage against seasonal influenza increased to 68.4 % in patients receiving a piece of information by HIV specialists or general practitioners, and was significantly higher than in patients who only received a voucher.…”

Section: Dear Editormentioning

confidence: 99%

See 4 more Smart Citations

Vaccine coverage in PLWH: disparities and potential impact of vaccine hesitancy

Gagneux‐Brunon

Frésard

Lucht

et al. 2018

Human Vaccines & Immunotherapeutics

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Section: Dear Editormentioning

confidence: 64%

Section: Dear Editormentioning

confidence: 90%

Section: Dear Editormentioning

confidence: 92%

Section: Dear Editormentioning

confidence: 99%

Section: Dear Editormentioning

confidence: 99%

See 3 more Smart Citations

Vaccine coverage in PLWH: disparities and potential impact of vaccine hesitancy

Gagneux‐Brunon

Frésard

Lucht

et al. 2018

Human Vaccines & Immunotherapeutics

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Implementation of EACS vaccination recommendations among people living with HIV

et al. 2022

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Objectives With modern combination antiretroviral Treatment (cART) a normal life expectancy among people living with HIV (PLWH) has become reality if started early enough prior to the onset of more pronounced immunodeficiency. Therefore, prevention measures against other infectious diseases among this vulnerable group have gained increased attention. Indeed, the EACS guidelines recommend vaccinations against HAV, HBV, HPV, Influenza, Neisseria meningitidis, Streptococcus pneumoniae and VZV in HIV-infected adults. Methods All PLWH under cART attending our ID outpatient clinic between April to June 2018, were assessed during consultation for vaccination status regarding pneumococcus, Hepatitis A and B, influenza, varicella, meningococcus and HPV using a pre-defined questionnaire, vaccination certificates and medical records. In addition, the cohort database was screened for Hepatitis A and B serology and HIV surrogate markers. Results A total of 305 PLWH (82.3% male, 17.7% female) was included, median age was 48 years (IQR 47–51). Median CD4 + T cell count was 543 (IQR 304–770), and for 297 (97.4%) PLWH CD4 + T cell count was ≥ 200/ul. The viral load was undetectable (< 40 copies/ml) in 289 (94.8%) cases. Highest vaccination rates were observed for HAV (87.4%), Streptococcus pneumoniae (77.4%) and Influenza (76.5%). 64.3% PLWH got vaccinated against HBV, whereas VZV vaccination only played a minor role, in the context of the high rate of cleared infections (99.0%). Lowest vaccination rates were detected for HPV (0%) and Neisseria meningitidis (3.0%). Conclusions Our data suggest that vaccination rates among PLWH are higher compared to the general German population. Implementation of EACS guidelines into daily routine though is not fully executed and the need for improving vaccination rates has to be emphasized. Centrally organized vaccination registers as well as electronic medical records could be helpful tools to detect a lack of vaccination coverage and send digital vaccination reminders particularly among risk groups.

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